Provider Demographics
NPI:1215905088
Name:JONES, EDGAR F III (MD)
Entity type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:F
Last Name:JONES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ADLER CIR
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-5829
Mailing Address - Country:US
Mailing Address - Phone:409-744-1481
Mailing Address - Fax:
Practice Address - Street 1:2228 SEAWALL BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-8940
Practice Address - Country:US
Practice Address - Phone:409-763-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1689207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0084MMOtherBCBS
TX136921710Medicaid
TX0084MMOtherBCBS
TX136921710Medicaid